Phillip Michael O'connor, MD is a medicare enrolled "General Practice" physician in Kankakee, Illinois. His current practice location is
1240 Westlawn Dr, Kankakee, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 693-7568.
Phillip Michael O'connor is licensed to practice in Illinois (license number 036152000) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659759652.
Physician's Profile
Full Name | Phillip Michael O'connor |
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Gender | Male |
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Speciality | General Practice |
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Location | 1240 Westlawn Dr, Kankakee, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659759652
- Provider Enumeration Date: 05/11/2015
- Last Update Date: 06/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618415613
- Enrollment ID: I20240821000575
Medical Identifiers
Medical identifiers for Phillip Michael O'connor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659759652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | MT212023 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208D00000X | General Practice | 036152000 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Phillip Michael O'connor allows following entities to bill medicare on his behalf.
Entity Name | Wound Kinetics L L C |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013755909 PECOS PAC ID: 6800334905 Enrollment ID: O20240821000509 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phillip Michael O'connor is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Phillip Michael O'connor, MD 1240 Westlawn Dr, Kankakee, IL 60901-4657 Ph: (815) 693-7568 | Phillip Michael O'connor, MD 1240 Westlawn Dr, Kankakee, IL 60901-4657 Ph: (815) 693-7568 |
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